Organization
ASSISTED AWARENESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD TRAVIS LCPC (COUNSELOR)
(815) 436-1101
Entity
Organization
Contact information
Practice address
24123 WEST LOCKPORT ROAD, PLAINFIELD, IL 60544-2900
(815) 436-1101
Mailing address
24123 W LOCKPORT ROAD, PLAINFIELD, IL 60544-2900
(815) 436-1101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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